摘要
【目的】观察隔姜灸配合推拿疗法治疗中老年膝骨关节炎的临床疗效。【方法】将80例中老年膝骨关节炎患者随机分为观察组、对照1组和对照2组,观察组40例,给予隔姜灸配合推拿治疗;对照1组20例,给予隔姜灸治疗;对照2组20例,给予推拿治疗。每次治疗20 min,每周3次,共治疗6周。治疗6周后,评价3组临床疗效,比较3组患者治疗前后关节液中白细胞介素-1β(IL-1β)水平、P物质含量、关节炎奎森功能演算指数量表(Lequesne评分)、视觉模拟评分法(VAS)的变化情况。【结果】(1)观察组总有效率为90.00%,对照1组为75.00%,对照2组为80.00%。观察组疗效优于对照1组和对照2组,差异均有统计学意义(P<0.05)。(2)治疗后,3组患者关节液中IL-1β水平、P物质含量均改善(P<0.05),且观察组在改善关节液中IL-1β水平、P物质含量方面均优于对照1组和对照2组,差异均有统计学意义(P<0.05)。(3)治疗后,3组患者关节功能Lequesne评分改善(P<0.05),观察组在改善关节功能Lequesne评分方面均优于对照1组和对照2组,差异均有统计学意义(P<0.05)。(4)治疗后,3组患者VAS评分均改善(P<0.05),且观察组在改善VAS评分方面均优于对照1组和对照2组,差异均有统计学意义(P<0.05)。【结论】隔姜灸配合推拿疗法用于中老年膝骨关节炎的治疗,可缓解患者疼痛程度,改善关节功能及炎症症状,疗效显著。
Objective To observe the clinical curative effect of ginger partition moxibustion combined with massage therapy for the treatment of the middle-aged and old patients with knee osteoarthritis. Methods Eighty middleaged and older patients with knee osteoarthritis were randomly divided into observation group,control group 1 and control group 2. The observation group(N = 40)was treated with ginger partition moxibustion combined with massage,the control group 1(N = 20)was treated with ginger partiton moxibustion only,and the control group 2(N = 20)was treated with massage only. Twenty minites per time, 3 times per week, the treatment lasted 6 weeks. After 6 weeks,the therapeutic effect of the three groups was evaluated. The interleukin 1 beta(IL-1β)level and substance P content in joint fluid, Lequesne score and visual analogue scale(VAS)pain score were compared in the three groups. Results(1)The total effective rate was 90.00% in the observation group, was75.00% in the control group 1,and was 80.00% in the control group 2(P < 0.05). The curative efficacy of the observation group was superior to that of control group 1 and control group 2,the difference being statistically significant(P < 0.05).(2)After treatment,the IL-1β level and substance P content in joint fluid of the three groups were improved(P < 0.05),and the improvement in IL-1β level and substance P content of the observation group was superior to that of the control group 1 and control group 2,the difference being statistically significant(P < 0.05).(3)After treatment, the Lequesne score of the three groups was improved(P < 0.05), and the improvement in Lequesne score of the observation group was superior to that of the control group 1 and control group 2,the difference being statistically significant(P < 0.05).(4)After treatment,the VAS score of the three groups was improved(P < 0.05),and the improvement in VAS score of the observation group was superior to that of the control group 1 and control group 2,the difference being statistically significant(P < 0.05). Conclusion Ginger partition moxibustion combined with massage therapy has significant curative effects on alleviating pain,improving joint function and inflammatory symptoms of the middle-aged and older patients with knee osteoarthritis.
作者
赖中华
李城权
叶春迎
LAI Zhong-Hua;LI Cheng-Quan;YE Chun-Ying(Tianxin Coininunity Health Service Center,Shenzhen Pingshan People's Hospital,Shenzhen 518118 Guangdong,China;Jianxin Comm unity Health Service Center,Shenzhen Longgang District Central Hospital Group,Shenzhe n 518116 Guangdong,China;Tangkeng Conimunity Health Service Center,Shenzhen Pingshan People's Hospital,Shenzhen 518118 Guangdong,Chinti)
出处
《广州中医药大学学报》
CAS
2020年第3期485-490,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
深圳市科技计划项目(编号:JCYJ20160420094834492)。
关键词
隔姜灸
推拿
中老年
膝骨关节炎
疗效观察
ginger partition moxibustion
massage
the middle-aged and older
knee osteoarthritis
clinical observation
